Patient Safety Horizon Scanning Volume 3 Issue 4

July 30, 2012

Identifying and categorizing patient safety hazards in cardiovascular operating rooms

July 30, 2012

Source:  BMJ Quality & Safety

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Date of publication:  May 2012

Publication type:  Journal article

In a nutshell:  This article looks at how an interdisciplinary team, working in cardiac surgery, looked at the patient journey from ward to operating room.  They looked at the way patients are transferred, and handoff after surgery trying to identify potential hazards and opportunities to improve patient safety.

Length of publication:  9 pages

Some important notes:   If an item requires an Athens username and password.  This article is available in full text to all NHS Staff using Athens, for more information about accessing full text fllow this link to find your local NHS Library


Skills in improving quality, safety, patient experience and value with peers within primary care

July 30, 2012

Source: NHS Commissioning Board

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Date of publication: June 2012

Publication type: Toolkit

In a nutshell:  A list of products, including frameworks and toolkits to help senior teams, individual leaders and whole CCGs to improve patient experience.


Increasing patient safety in healthcare

July 30, 2012

Source:  PublicService.co.uk

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Date of publication: May 2012

Publication type:  News item

In a nutshell:  An example of how a hospital in Sweden, using the WHO checklist, make improvements in patient safety.

Length of publication:  1 web page


Can patients report patient safety incidents in a hospital setting?

July 30, 2012

Source:  BMJ Quality & Safety

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Date of publication: May 2012

Publication type:  Journal article

In a nutshell:  This article looks at the current situation of whether patients can report incidents while they are in the hospital, and whether this should be something to build on in the future.

Length of publication:  9 pages

Some important notes:   If an item requires an Athens username and password.  This article is available in full text to all NHS Staff using Athens, for more information about accessing full text fllow this link to find your local NHS Library


Clinical human factors: the need to speak up to improve patient safety.

July 30, 2012

Source:  Nursing Standard

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Date of publication: May 2012

Publication type:  Journal article

In a nutshell:  This article uses a case study and learning derived from a subsequent independent inquiry to motivate nurses to identify how human factors affect individual and team performance. It is shown how patient safety benefits greatly when nurses speak up when concerned and the role of situational awareness is stressed.

Length of publication:  6 pages


Trust launches Green Bag initiative to improve patient safety

July 30, 2012

Source: Great Western Hospitals NHS Foundation Trust

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Date of publication: June 2012

Publication type:  News item

In a nutshell:  Pharmacy Staff have launched an initiative to enable patients to keep their medication beside them at all times.  This ensures consultants and doctors have more complete information on what the patient is taking.  This can reduce the delay in patients receiving the correct medication when they are in hospital.  It can also be cost effective as it reduced the need for Pharmacy staff to re-supply medicines patients already have at home.